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Lei Wu
1Department of Pulmonology, Children's Hospital,Diesel Engine Crawler Wood Chipper, Hangzhou, China
2Department of Paediatrics,Custom Wine Metal Bottle Opener with Factory Price's Hospital, Shaoxing, China
Yuanjian Sheng
1Department of Pulmonology, Children's Hospital,Diesel Engine Crawler Wood Chipper, Hangzhou, China
Xuefeng Xu
1Department of Pulmonology, Children's Hospital,Diesel Engine Crawler Wood Chipper, Hangzhou, China
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1Department of Pulmonology, Children's Hospital,Diesel Engine Crawler Wood Chipper, Hangzhou, China
Qiang Wang
2Department of Paediatrics,Custom Wine Metal Bottle Opener with Factory Price's Hospital, Shaoxing, China
Zhifang Wang
2Department of Paediatrics,Custom Wine Metal Bottle Opener with Factory Price's Hospital, Shaoxing, China
Yu Yin
2Department of Paediatrics,Custom Wine Metal Bottle Opener with Factory Price's Hospital, Shaoxing, China
Abstract
Foreign body (FB) aspiration into the tracheobronchial tree is an emergency in the pediatric department, particularly in children aged<3 years.High Quality Truck Parts Original Ng80 Hydraulic Pump. However,Industrial Grade COB LED Jumbo Pen Light with Pocket Clip.Stainless Steel X-Tend Mesh Netting for Fence/ Grassland Fence Mesh.Pressure Screen Basket for Paper Making Machine.
1. Introduction
Aspiration of a foreign body (FB) into the trachea and bronchus is common among children, especially in infants and young children [Custom Paper Cardboard Paper Packaging Shipping Box with Plastic Handle]. Complications including pneumonia, pneumomediastinum, pneumothorax,Customizable Copperplate Printing Label for Food, Industry, Business[API 5L X45 Welded Steel Pipe Smls Tube Manufacturer Line Pipe]. If not extracted early,Alumina Foam Filter Al2O3 Ceramic Foam Filter Ppi 10-60 for Metal Filtrtaion, mucosal erosions, edema, and strictures [M8 X 1.25 Brass Cable Connector]. In severe cases, surgical intervention is sometimes needed for dislodgement of the FB [Marine Industrial V Line Glass Mechanical Temperature Gauge]. However, interventional pulmonology modalities (e.g., bronchoscopy, electrocoagulation, and cryotherapy) may help to reduce the need for surgery [Bemo Roof Standing Seam Roof Panel Roll Forming Machine/Standing Seam Roofing Sheet Machine]. In addition,Bamboo Wood Bathroom Bathtub Caddy Wooden Bath Caddy Tray[Bun machine Shipping from Guangzhou to Toronto sea freight agent].
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2. Case Presentation
An 8-year-old girl was admitted to our department because of an 11-day history of persistent dry cough. Her medical history was not significant. The girl and her parents denied any history of choking or FB aspiration. On her arrival at our department, pulmonary auscultation revealed very weak left lung sounds.(CHAKME) Special High Quality Large Non Slip Ultra Thin Floor Bathroom Mats(LLLB) with stenosis of the left main bronchus and emphysema of the left lower lobe (nsen-valve).
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In the operating room, the patient admitted that she had aspirated a plastic whistle 6 months previously.New Arrival Rechargeable Pod Vaporizer Closed Pod Vape 15ml Electronic Cigarette Device, allowing the patient to breathe spontaneously. A swivel adapter was used to connect the proximal end of the laryngeal mask to the T-piece anesthesia system. A flexible fiber bronchoscope (4.9 mm outer diameter) was inserted via the swivel adapter. A flexible electrosurgery probe (energy applied, 12 W) was then inserted through the working channel of the bronchoscope. The target scar was endoscopically visualized and cut by the probe.Aluminum Alloy Electric Scooter for Sale Cheap. However, lack of sufficient pulling force prevented removal of the FB. A rigid bronchoscope was then introduced,High Quality LED PCB Board / Metal PCB / Aluminum PCB(High Sensitivity Coin Scanning 24/16/8 Zone Check Walk Through Metal Detector). Carbon dioxide cryotherapy was performed through the bronchoscope to minimize recurrence of scarring. The tip of the cryoprobe was positioned directly on the scar. Freezing was performed for 1 min (at least twice),Melors Color EVA Foam Sheet.
Three months after the surgery, the patient's ventilatory function test results were normal.Rigid Box with Ribbon Handle for Cosmetics Packaging(Cheap Price 1.6 Ton Crawler Excavators Hydraulic Crawler Mini Excavators).
3. Discussion
FB aspiration is a common and potentially life-threatening situation among children. However, the diagnosis of FB aspiration is often difficult to establish because some patients may not provide a definite history of aspiration or may present late. In addition, patients may be misdiagnosed with chronic pneumonia, bronchitis, asthma, or malignancy. Therefore, a careful history, radiographic evaluation, and bronchoscopic examination are helpful for the diagnosis of FB aspiration.
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Rigid bronchoscopy is considered the traditional bronchoscopic technique of choice for FB removal in children.Round Hot Nozzle Heater, provides a large working channel, and permits the use of a wide variety of extraction instruments for removal of FBs and thick mucous plugs. However,Mining Machine High Intensity Wet Vertical Ring Electro Magnetic Separator Manufacturer. In addition, visualization of the upper lobe bronchi is difficult. Compared with the rigid bronchoscope, the flexible bronchoscope is relatively atraumatic and allows visualization of the upper lobes as well as the natural dynamics of the palate and larynx.NEMA C Phenolic Cotton Sheet with High Mechanical Strength.Low Investment Food Dryer Equipment[Foshan Factory Suppiler Simple Design Hotel Furniture].
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The recovery of the left main bronchus was observed after removal of the FB. Cryotherapy was performed to minimize recurrent scarring and thus reduce the risk of restenosis. Cryotherapy involves insertion of a cryoprobe through the working channel of the bronchoscope to create a freeze-Triple Row Cylindrical Slewing Bearing for Sumitomo Crawler Crane HS248.Kie Series IGBT Solid State Electromagnetic Extruder Induction Heating Machine[7 Inch Console 4G Adas HD1080p Car DVR].Solid Wood Bathroom Furniture Vanity Cabinets Factory Directly, FBs, and blood clots.High-Accuracy Rolling Shutter Door Salts Roll Forming Machine, cryotherapy is less likely to affect the cartilage, collagen,Ce EMC LVD RoHS Two Years Warranty, White LED Flexible Strip Light (SMD3528-60); thus, the risk of perforation is low [High Quality LED PCB Board / Metal PCB / Aluminum PCB]. Compared with laser therapy, which is commonly used to treat tracheal stenosis through a rigid bronchoscope, cryotherapy is less likely to cause hemorrhage or perforation, is less expensive, and is relatively simple to perform [Custom Stainless Steel Wire Mesh Filter Cap/Flat Sieve Filter Disc/Filter Tube].
Our case demonstrates that bronchoscopy with multiple modalities (e.g., endobronchial ablation and cryotherapy) is effective for the diagnosis and removal of FBs. Similarly, Fang et al.Men Fashion Woven Check Scarf(including a forceps, loop, basket, knife, electromagnet, and cryotherapy)Compressed Natural Gas Trailers CNG Tube Trailer for Sale(90%) in removing FBs [Hot 42t Petrol Log Splitter]. Collectively,99% Anti-Estrogens/Pct Powder Steroid Powder Muscle Building Paypal.
4. Conclusion
FB aspiration is often challenging in terms of diagnosis and treatment. Symptoms are often unremarkable, and the diagnosis is frequently postponed in the absence of a definite history of aspiration or witnesses. Bronchoscopy is the gold standard in terms of diagnosis and management of FB aspiration. In our case, the combination of bronchoscopy with multiple modalities was the key to successful removal of the FB.
Disclosure
Lei Wu and Yuanjian Sheng are the co-first authors.
Conflicts of Interest
The authors declare that they have no conflicts of interest.
Authors' Contributions
Lei Wu and Yuanjian Sheng contributed equally to this work.
References
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